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DR. DAVID LLOYD SUDDUTH M.D.
NPI 1740250216
Psychiatry & Neurology - Psychiatry in Fridley, MN

Active since January 25, 2006PECOS Enrolled
480 OSBORNE RD NE STE AND200, FRIDLEY, MN 55432(763) 236-3800 Get Directions Write a Review

NPPES record last updated: February 14, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 14, 2019, Apr 22, 2018 (2 updates tracked since 2018).

About Dr. David Lloyd Sudduth M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. DAVID LLOYD SUDDUTH M.D. (NPI 1740250216) is an individual psychiatry provider in Fridley, Minnesota, licensed in Minnesota (32991) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS and maintains a secondary practice location in Waconia.

NPPES Registry Identity

NPI1740250216
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameDR. DAVID LLOYD SUDDUTHCredential: M.D.
Location Address480 OSBORNE RD NE STE AND200Fridley, MN 55432-2773
Mailing Address2925 Chicago AveMinneapolis, MN 55407-1321 · (612) 262-5000
Phone(763) 236-3800
Sole ProprietorNo
Enumeration DateJanuary 25, 2006
Last NPPES UpdateFebruary 14, 20192 updates tracked since enumeration
✔ NPI 1740250216 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in MN · 32991
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
480 OSBORNE RD NE STE AND200, Fridley, MN 55432
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Secondary Practice Location 1

Location 1540 E 1st StWaconia, MN 55387-1600 · Phone (952) 442-4437 · Fax (952) 442-3084

Other Identifiers 10

Other108461Ucare
Other1507725Ubh
Medicaid275207700MN
Other1507725Medica
Other33A45SUBcbs
Other259466Pronet
Other1012793Preferred One
Other260032841Rr Medicare
Other596821Americas Ppo
Other596821Araz

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. David Lloyd Sudduth M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55432 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$168.28 typical visit price
range $56.00 – $168.28
Typical copayment $42.07 (range $14.00 – $42.07)
Most-billed visit code 99205
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers12 claims12 services$93.86 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier11 claims11 services$34.12 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is David Sudduth's NPI number?

The NPI number for David Sudduth is 1740250216. It was assigned to this individual provider in the NPPES registry on January 25, 2006.

Where is David Sudduth located?

David Sudduth practices at 480 Osborne Rd NE Ste And200, Fridley, MN 55432. The listed phone number is (763) 236-3800.

What is David Sudduth's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is David Sudduth enrolled in Medicare?

Yes. David Sudduth is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for David Sudduth was last updated on February 14, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.